SODIUM FLUORIDE 2.2MG LIQUID (4373)    VA PRODUCT (50.68)

Name Value
NAME SODIUM FLUORIDE 2.2MG LIQUID
VA GENERIC NAME SODIUM FLUORIDE
DOSAGE FORM LIQUID,DENT
FORMULARY DESIGNATOR TEXT 
Not provided by pharmacy for inpatient use.
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 2.2
INACTIVATION DATE 2007-09-25 00:00:00
UNITS MG
DSS NUMBER 4
NATIONAL FORMULARY NAME SODIUM FLUORIDE LIQUID
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4004920
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-25 00:00:00
    STATUS:   INACTIVE